STROKE REHABILITATION TEST PAPER QUESTIONS AND
SOLUTIONS 2025/2026 GRADED A+
✔✔What may you observe in pt's with L hemispatial neglect/inattention? - ✔✔- may
neglect body part and/or environment
- dresses ½ of body, shaves ½ of face
- arm/leg may be awkwardly positioned
- tight gaze preference
- running into things in environment
- increased stimuli/demands: neglect may become more apparent
✔✔What is motor neglect? - ✔✔reduced ability to initiate movement in response to
stimuli even though pt is aware of the presence of stimuli; not result of weakness or any
primary motor deficit
✔✔What is sensory neglect? - ✔✔characterized by unawareness of sensory information
in the body and/or coming from the environment (i.e. visual, somatosensory)
✔✔What is representational neglect? - ✔✔inattention to portions of internally generated
images (i.e. memories, dreams, hallucinations)
✔✔What is personal neglect? - ✔✔lack of awareness to side of the body opposite of the
damage
✔✔What is spatial neglect? - ✔✔inability to acknowledge stimuli originating in space
opposite of damage; lack of ability to be aware of oneself in space; peri-personal (within
reach) and extra-personal
✔✔How do you know if pt has left inattention/neglect? - ✔✔visual (eating, reading,
dressing, ADLs, body recognition, environmental recognition), tactile, auditory, graphic
expression (will not complete task on the left side i.e. draw clock)
✔✔t/f visual field deficit equals hemi-inattention - ✔✔false
✔✔What is a visual field deficit? - ✔✔attempts to compensate for loss of vision by
engaging attention
✔✔What is hemi-attention? - ✔✔attentional mechanisms in the CNS that drive search
information is lost -> not attributed to sensory/motor deficits
✔✔What are some affects of hemi-attention? - ✔✔associated with longer hospital stays,
slower rate of improvement, poor functional recovery, inability to manage ADL after
stroke
, ✔✔Why is testing for neglect difficult? - ✔✔hard to control for all variables, testing can
be time consuming, test results do NOT correlate well with functional abilities/disabilities
because neglect has wide variety of clinical presentations, no single test can be used to
identify the disorder in all patients
✔✔What are two simple clinic tests for neglect? - ✔✔unilateral spatial neglect (line
bisection test, line cancellation task, draw clock/face) & star and letter cancellation tests
✔✔What are some treatment approaches for neglect? - ✔✔use simple commands, use
visual cues (look or reach for objects on left, reading, environmental cues, tape/objects
on floor for visual screening, mirror for visual feedback), tactile/kinesthetic movement or
stimuli of affected extremities
✔✔What is the purpose of prism glasses? What do they treat? - ✔✔system mounted in
one lens on the side of the loss; shifts image about 20 degrees nasally allowing it to be
detected within the remaining functional field as the pt makes small scanning
movements
Hemianopsia
✔✔How is a right hemisphere disorder chracterized? - ✔✔o Insensitivity to others and
pre-occupied with self
o Unawareness of or inattentive to physical or mental limitations
o Verbose, tangential, and rambling speech
o Insensitive to the meaning of abstract or implied material
o Inability to grasp the overall significance or meaning of complex events
o Lack of emotional affect
o Difficulty maintaining attention
✔✔What test is good for pt's lacking focused attention? - ✔✔Brief Test of Attention
(BTA)
- instructions: listen to progressively longer alphanumeric strings and keep track of only
the numbers or letters or numbers, filtering out the other
✔✔What deficit is prevalent in those taking the Brief Test of Attention (BTA)? -
✔✔progression to open environment may be delayed
✔✔What tests are good for pt's lacking sustained attention? - ✔✔Backward Digit Span -
listen to progressively longer digit strings and repeat the same number in reverse order
Trail Making - connect encircled numbers in order using pencil
SOLUTIONS 2025/2026 GRADED A+
✔✔What may you observe in pt's with L hemispatial neglect/inattention? - ✔✔- may
neglect body part and/or environment
- dresses ½ of body, shaves ½ of face
- arm/leg may be awkwardly positioned
- tight gaze preference
- running into things in environment
- increased stimuli/demands: neglect may become more apparent
✔✔What is motor neglect? - ✔✔reduced ability to initiate movement in response to
stimuli even though pt is aware of the presence of stimuli; not result of weakness or any
primary motor deficit
✔✔What is sensory neglect? - ✔✔characterized by unawareness of sensory information
in the body and/or coming from the environment (i.e. visual, somatosensory)
✔✔What is representational neglect? - ✔✔inattention to portions of internally generated
images (i.e. memories, dreams, hallucinations)
✔✔What is personal neglect? - ✔✔lack of awareness to side of the body opposite of the
damage
✔✔What is spatial neglect? - ✔✔inability to acknowledge stimuli originating in space
opposite of damage; lack of ability to be aware of oneself in space; peri-personal (within
reach) and extra-personal
✔✔How do you know if pt has left inattention/neglect? - ✔✔visual (eating, reading,
dressing, ADLs, body recognition, environmental recognition), tactile, auditory, graphic
expression (will not complete task on the left side i.e. draw clock)
✔✔t/f visual field deficit equals hemi-inattention - ✔✔false
✔✔What is a visual field deficit? - ✔✔attempts to compensate for loss of vision by
engaging attention
✔✔What is hemi-attention? - ✔✔attentional mechanisms in the CNS that drive search
information is lost -> not attributed to sensory/motor deficits
✔✔What are some affects of hemi-attention? - ✔✔associated with longer hospital stays,
slower rate of improvement, poor functional recovery, inability to manage ADL after
stroke
, ✔✔Why is testing for neglect difficult? - ✔✔hard to control for all variables, testing can
be time consuming, test results do NOT correlate well with functional abilities/disabilities
because neglect has wide variety of clinical presentations, no single test can be used to
identify the disorder in all patients
✔✔What are two simple clinic tests for neglect? - ✔✔unilateral spatial neglect (line
bisection test, line cancellation task, draw clock/face) & star and letter cancellation tests
✔✔What are some treatment approaches for neglect? - ✔✔use simple commands, use
visual cues (look or reach for objects on left, reading, environmental cues, tape/objects
on floor for visual screening, mirror for visual feedback), tactile/kinesthetic movement or
stimuli of affected extremities
✔✔What is the purpose of prism glasses? What do they treat? - ✔✔system mounted in
one lens on the side of the loss; shifts image about 20 degrees nasally allowing it to be
detected within the remaining functional field as the pt makes small scanning
movements
Hemianopsia
✔✔How is a right hemisphere disorder chracterized? - ✔✔o Insensitivity to others and
pre-occupied with self
o Unawareness of or inattentive to physical or mental limitations
o Verbose, tangential, and rambling speech
o Insensitive to the meaning of abstract or implied material
o Inability to grasp the overall significance or meaning of complex events
o Lack of emotional affect
o Difficulty maintaining attention
✔✔What test is good for pt's lacking focused attention? - ✔✔Brief Test of Attention
(BTA)
- instructions: listen to progressively longer alphanumeric strings and keep track of only
the numbers or letters or numbers, filtering out the other
✔✔What deficit is prevalent in those taking the Brief Test of Attention (BTA)? -
✔✔progression to open environment may be delayed
✔✔What tests are good for pt's lacking sustained attention? - ✔✔Backward Digit Span -
listen to progressively longer digit strings and repeat the same number in reverse order
Trail Making - connect encircled numbers in order using pencil
